WOLDENBERG VILLAGE INC (NPI# 1023110897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023110897 |
| Entity Type | Organization |
| Organization Name | WOLDENBERG VILLAGE INC |
| Practice Address |
3701 Berhman Place New Orleans LA 70114 |
| Mailing Address |
3701 Behrman Place New Orleans LA 70114 |
| Practice Telephone | 5043675640 |
| Practice Fax Number | 5043675643 |
| Mailing Telephone | 5043675640 |
| Mailing Fax Number | 5043675643 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2013-08-02 |
| Authorized Official Name | JOSEPH TOWNSEND (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5043675640 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 161 | LA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1511561 | 05 | |
| LA | BLUE CROSS BLUE SHIELD | 33632 | 01 |
| Street Address |
3701 BERHMAN PLACE |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144789645 | Reginald A Parquet | Social Worker | 3510 General Meyer Avenue, New Orleans, LA 70114 | 2019-03-14 |
| 1386114957 | Trenai' Augusta Lewis | Registered Nurse | Use 3100 General Degaulle, New Orleans, LA 70114 | 2018-11-27 |
| 1003335522 | Samiyya Antoinette Degree | Case Manager/Care Coordinator | 1525 L B Landry Ave, New Orleans, LA 70114 | 2017-09-15 |
| 1972021533 | Latara Mack | Counselor | Louisiana Support Services 3630 Macarthur Blvd, New Orleans, LA 70114 | 2017-09-05 |
| 1053837419 | Jemal Causey | Counselor | 1210 Belleville Street, New Orleans, LA 70114 | 2017-08-17 |
| 1528590320 | Brandon Christopher Shelly | Case Manager/Care Coordinator | 1110 Thayer St, New Orleans, LA 70114 | 2017-03-30 |
| 1639618820 | Livegood At Home Care Services LLC | In Home Supportive Care | 1048 Flanders Street, New Oreans, LA 70114 | 2017-02-21 |
| 1215472733 | Shannon Newell | Counselor | 1927 Flanders, New Orleans, LA 70114 | 2016-12-20 |
| 1285177899 | Shannon Delavallade | Case Manager/Care Coordinator | 1300 Evelina St, New Orleans, LA 70114 | 2016-11-30 |
| 1770026395 | Grant Burns Jr. | Counselor | 3520 General Degaulle Dr Ste 4070, New Orleans, LA 70114 | 2016-11-30 |
| Find all providers in zip 70114 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730674557 | Louisiana Department of Health, Department of Health and Hospitals | Skilled Nursing Facility | 612 Henry Clay Ave., New Orleans, LA 70118 | 2018-06-25 |
| 1962934505 | Notre Dame Health System | Skilled Nursing Facility | 5600 General Degaulle Dr, New Orleans, LA 70131-7247 | 2017-04-02 |
| 1578850020 | Cplace Unity Snf, LLC | Skilled Nursing Facility | 1527 Delachaise St, New Orleans, LA 70115-3513 | 2011-07-06 |
| 1497971618 | Bethany Home | Skilled Nursing Facility | 2535 Esplanade Ave, New Orleans, LA 70119-2406 | 2007-04-17 |
| 1144361999 | Diversified Healthcare-new Orleans, LLC | Skilled Nursing Facility | 4502 General Meyer Ave, New Orleans, LA 70131-3531 | 2007-02-12 |
| 1396897609 | Maison Orleans II Nursing Home, Inc. | Skilled Nursing Facility | 13500 Chef Menteur Hwy, New Orleans, LA 70129-1815 | 2007-01-17 |
| 1780753103 | Protestant Home for The Aged | Skilled Nursing Facility | 5919 Magazine St, New Orleans, LA 70115-3220 | 2006-11-07 |
| 1306943873 | Touro Shakspeare,inc. | Skilled Nursing Facility | 14500 Hayne Blvd., New Orleans, IA 70128-1028 | 2006-09-19 |
| 1821006487 | The St. Margaret's Daughters | Skilled Nursing Facility | 3525 Bienville St, New Orleans, LA 70119-5249 | 2006-08-03 |
| 1316934482 | Uptown Healthcare Center, LLC | Skilled Nursing Facility | 1420 General Taylor St, New Orleans, LA 70115-3718 | 2005-10-04 |
| Find all providers in NEW ORLEANS | ||||
| City | NEW ORLEANS |
| Zip Code | 70114 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.